Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | A145873 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | A145873 | CA |
NPI | 1194072777 |
---|---|
Provider Name | Dr. Sara M Guerra |
First Address | Los Angeles, CA 90048-4100 |
Second Address | Los Angeles, CA 90048-4100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 20/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A145873 | MEDICAL LICENSE (01) | CA |